• Title/Summary/Keyword: The Community Group

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The Implementation of PBL Module in Community Health Nursing (지역사회간호학에서의 문제중심학습 모듈 적용)

  • Lee, Kyung-Hee
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.156-164
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    • 2007
  • Purpose: This study was to investigate adequate strategies of PBL in community health nursing for learning in the real community situation. Method: Data were collected in a PBL class of 14 third-year students who solved problems and assessed PBL in community health nursing related to visiting nursing and chronic diseases. Results: The students guessed situations diversely, chose learning issues widely and mapped the learning concepts specifically. In the assessment of the presentation, the peers of the same group gave the highest score $29.00{\pm}3.36$, the tutor lowest score $22.83{\pm}5.15$. In 5-point Likerts scale, the group dynamic was highest ($4.18{\pm}.61$) and the presentation was lowest ($3.59{\pm}.84$). Conclusion: The group needs to include students who have experiences in the practice at the health centers. The PBL class should be managed by the block system along with the conventional learning. Students needs to practice the self-directed learning and the presentation in a first semester and then PBL. The introduction of community health nursing begins with the conventional lecture and the programs on life circle and health centers through PBL in the comprehensive curriculums.

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The Reciprocal Causal Relationship between Social Activities and Health with Reference to the Cognitive Function Level among Community-dwelling Older Adults: A Cross-Lagged Panel Analysis

  • Kim, Da Eun;Yoon, Ju Young
    • Research in Community and Public Health Nursing
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    • v.28 no.1
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    • pp.13-22
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    • 2017
  • Purpose: The aim of this study is to examine the reciprocal causal relationship between social activities and health with reference to the cognitive function level among community-dwelling older adults. Methods: We conducted a longitudinal data analysis using the $4^{th}$ (Time 1) and $5^{th}$ (Time 2) waves from the Korean Longitudinal Study of Ageing adopting cross-lagged panel analysis (CLPA). Results: A total of 3,473 community-dwelling older adults were included in the analysis: 2,053 in the normal cognitive function group, 912 in the mild cognitive impairment group, and 508 in the moderate to severe cognitive impairment group. The CLPA revealed that higher levels of social activities at Time 1 significantly influenced better subjective health perception at Time 2 in all three groups. In addition, better subjective health perception at Time 1 significantly influenced higher levels of social activities at time 2 only in the normal cognitive function group. Conclusion: This study demonstrates that participating in social activities has positive effects on health regardless of the cognitive function level in community-dwelling older adults. This finding suggests that there is a need to develop strategies that can be used to encourage older adults with cognitive decline to maintain participation in social activities.

Mesozooplankton Community Structure in the Yellow Sea in Spring (봄철 황해의 중형동물플랑크톤 군집 구조)

  • Kim, Garam;Kang, Hyung-Ku
    • Ocean and Polar Research
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    • v.42 no.4
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    • pp.271-281
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    • 2020
  • We investigated mesozooplankton in the Yellow Sea in spring to understand its community structure and relationship with environmental factors. Total mesozooplankton density ranged from 1,542 to 7,367 ind. m-3 and the biomass ranged from 3 to 42 mg C m-3. The total density and biomass had a positive relationship with chlorophyll-a (chl-a) concentration. The mesozooplankton community was divided into two groups at 125.5 E by cluster analysis: one was an inshore group and the other was an offshore group. The inshore group of mesozooplankton was of high density but low diversity, while the offshore group was of high diversity but low density. Copepod Acartia hongi and its copepodites were the most abundant species, comprising 27.8% of the total mesozooplankton density. A. hongi was especially abundant at the inshore, serving as the indicator species of the inshore group. Redundancy analysis found a positive relationship between the density of A. hongi and chl-a concentration. Oithona similis and Centropages abdominalis were 2nd and 3rd dominant species comprising 9 and 7% of the total density, respectively. The density of O. similis was positively related to water depth, but C. abdominalis was related to chl-a concentration. Chl-a concentration seems to influence significantly the mesozooplankton community structure in the Yellow Sea in spring, rather than water temperature or salinity.

Effects of Community-based Comprehensive Fall Prevention Program on Muscle Strength, Postural Balance and Fall Efficacy in Elderly People (지역사회 기반의 통합적 낙상예방 프로그램이 노인의 근력, 균형능력 및 낙상효능감에 미치는 영향)

  • Bae, Jeongyee;Cho, Seong-Il
    • Journal of Korean Academy of Nursing
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    • v.44 no.6
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    • pp.697-707
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    • 2014
  • Purpose: The purposes of this study was to develop a comprehensive community-based fall prevention program and to test the effects of the program on the muscle strength, postural balance and fall efficacy for elderly people. Methods: The design of this study was a nonequivalent control group pretest-posttest design. There were 28 participants in the experimental group and 29 in the control group. The program consisted of balance exercises, elastic resistance exercises and prevention education. The program was provided five times a week for 8 weeks and each session lasted 90 minutes. Data were analyzed using ${\chi}^2$-test, independent t-test and paired t-test using the SPSS program. Results: Muscle strength of the lower extremities, postural balance and fall efficacy scores significantly improved in the experimental group compared to the control group. Conclusion: These results suggest that this program can improve lower extremity muscle strength, postural balance and fall efficacy in elders. Therefore, this program is recommended for use in fall prevention programs for elders living in the community.

Factors Related to Anxiety and Depression of the Family Caregivers' with Dementia Patients: based on 2015 Community Health Survey (치매환자 가족부양자의 불안 및 우울 관련 요인: 2015년 지역사회 건강조사를 바탕으로)

  • Um, Taerim;Choi, Boyoung
    • The Journal of Korean Society for School & Community Health Education
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    • v.19 no.3
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    • pp.65-77
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    • 2018
  • Background & Objectives: This study aims to investigate the health status of family caregivers with dementia patients and identify the factors related to their anxiety and depression. Methods: Data from 2015 Community Health Survey(n=2,426) was used. A chi-square test was performed to investigate the health status of family caregivers, and a multiple logistic regression analysis was used to identify the factors associated with anxiety and depression. Results: Odds ratio(OR) of anxiety and depression was 1.29 times higher in female, 2.49 times higher in over 70 years versus under 39 years. ORs were lower 34.0%, 26.0%, 26.0% in the working group, the physical activity group, the alcohol drinking group respectively. ORs of anxiety and depression were 4.54 times, 1.57 times higher in the stress group, the chronic disease group respectively. And ORs were 61.0%, 28.0% lower respectively when social networks and social activities was present. Conclusions: The rate of experiencing anxiety and depression was high in family caregivers with dementia patients. It is necessary to provide diverse programs to reduce the burden of family support, anxiety and depression of family caregivers.

Characteristics of Vegetation Type and Zonation on Daegwang Coastal Dune in Imja-do, Korea (임자도 대광사구의 식생유형과 대상분포 특징)

  • Kim, Yoon-Mi;Lee, Jung-Hyo
    • Korean Journal of Environment and Ecology
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    • v.26 no.4
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    • pp.576-587
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    • 2012
  • As being actual physiognomical vegetation on Daegwang sand dune in Imjado, the widest area is occupied by Pinus thunbergii community planted as windbreak forest whereas those communities such as Robinia pseudoacacia community, Elymus mollis community, Imperata cylindrica var. koenigii - Elymus mollis community, Carex kobomugi community, Ischaemum antephoroides community, Imperata cylindrica var. koenigii community, Phragmites communis community, Imperata cylindrica var. koenigii - Calamagrostis epigeios community occupy as band shape or patch. According to the result of the data collected and analyzed based on phytosociological method regarding 74 plots of survey area, the species composition of Daegwang sand dune vegetation is classified total 10 vegetation units comprises 7 communities and 5 groups. The 7 communities are classified into Pinus thunbergii community, Robinia pseudoacacia community, Rosa rugosa var. rugosa community, Ischaemum antephoroides community, Carex kobomugi community, Calamagrostis epigeios community, and the sub-units of Pinus thunbergii communities are classified into 3 groups of Pteridium aquilinum var. latiusculum group, Elymus mollis group, Pinus thunbergii topical group and the sub-units of Calamagrostis epigeios communities are classified into 2 groups of Phragmites communis group, Calamagrostis epigeios tipical group. The zonation of vegetation from coastal line indicated with the order of Elymus mollis - Carex kobomugi, Carex pumila, Lathyrus japonicus - Calystegia soldanella - Vitex rotundifolia, Lathyrus japonicus, Ischaemum antephoroides - Rosa rugosa var. rugosa. According to the analysis result of longitudinal section, it was found to be those types with wide width herbaceous vegetation of foredune, smooth slope of foredune, lots of dune ridges with no structure were less vulnerable to erosion of sand dune and advantageous to its recovery.

Community Structure of Natural Monument Forest (Forest of Japanese Torreyas in Pyeongdae-ri, Jeju and Subtropical Forest of Nabeup-ri, Jeju) in Jeju-do (제주도 천연기념물 수림지(제주 평대리 비자나무 숲과 제주 납읍리 난대림)의 군집구조)

  • Jeong Eun Lee;Yo Seob Hwang;Ho Jin Kim;Ju Heung Lee;Chung Weon Yun
    • Journal of Korean Society of Forest Science
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    • v.112 no.4
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    • pp.393-404
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    • 2023
  • The Natural Monument Forest (NMF) is a form of natural and cultural heritage that has symbolized the harmony between nature and culture in Korea for a long time. Recently, the NMF has deteriorated due to industrialization and reckless city expansion. Given this situation, it is necessary to preserve and manage the ecosystem of the NMF through preferential research regarding the forest community structure. Accordingly, this study sought to identify the community structure by analyzing the vegetation classification, stratum structure,and species diversity using vegetation data collected from the Forest of Japanese Torreyas in Pyeongdae-ri, Jeju and the Subtropical Forest of Nabeup-ri, Jeju. The results classified the forest vegetation as a Litsea japonica community group divided into two communities: a Torreya nuciferacommunity and a Quercus glauca community. The T. nuciferacommunity was subdivided into the Idesia polycarpa group and Dryopteris erythrosora group, while the Q. glauca community was subdivided into the Mercurialis leiocarpa group and Arachniodes aristata group. The T. nucifera species showed the highest level of importance in vegetation units 1 (Litsea japonicacommunity group-Torreya nucifera community-Idesia polycarpa group) and 2 (Litsea japonica community group-Torreya nucifera community-Dryopteris erythrosora group), whereas Q. glauca showed the highest level of importance in vegetation units 3 (Litsea japonica community group-Quercus glauca community-Mercurialis leiocarpa group) and 4 (Litsea japonica community group-Quercus glauca community-Arachniodes aristata group). In terms of the species diversity, vegetation units 1, 2, 3, and 4 had 2.866, 2.716, 2.222, and 2.326 species, respectively. These findings suggest that it is necessary to prepare a differentiated management plan for each vegetation unit.

Virtual Reality Community Gait Training Using a 360° Image Improves Gait Ability in Chronic Stroke Patients

  • Kim, Myung-Joon
    • The Journal of Korean Physical Therapy
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    • v.32 no.3
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    • pp.185-190
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    • 2020
  • Purpose: Gait and cognitive impairment in stroke patients exacerbate fall risk and mobility difficulties during multi-task walking. Virtual reality can provide interesting and challenging training in a community setting. This study evaluated the effect of community-based virtual reality gait training (VRGT) using a 360-degree image on the gait ability of chronic stroke patients. Methods: Forty-five chronic stroke patients who were admitted to a rehabilitation hospital participated in this study. Patients meeting the selection criteria were randomly divided into a VRGT group (n=23) and a control group (n=22). Both these groups received general rehabilitation. The VRGT group was evaluated using a 360-degree image that was recorded for 50 minutes a day, 5 days per week for a total of 6 weeks after their training. The control group received general treadmill training for the same amount of time as that of the VRGT group. The improvement in the spatiotemporal parameters of gait was evaluated using a gait analyzer system before and after training. Results: The spatiotemporal gait parameters showed significant improvements in both groups compare with the baseline measurements (p<0.05), and the VRGT group showed more improvement than the control group (p<0.05). Conclusion: Community-based VRGT has been shown to improve the walking ability of chronic stroke patients and is expected to be used in rehabilitation of stroke patients in the future.

Wheel of Wellness Counseling in Community Dwelling, Korean Elders: A Randomized, Controlled Trial

  • Kwon, So-Hi
    • Journal of Korean Academy of Nursing
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    • v.45 no.3
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    • pp.459-468
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    • 2015
  • Purpose: The purpose of this study was to investigate the effects of Wheel of Wellness counseling on wellness lifestyle, depression, and health-related quality of life in community dwelling elderly people. Methods: A parallel, randomized controlled, open label, trial was conducted. Ninety-three elderly people in a senior welfare center were randomly assigned to two groups: 1) A Wheel of Wellness counseling intervention group (n=49) and 2) a no-treatment control group (n=44). Wheel of Wellness counseling consisted of structured, individual counseling based on the Wheel of Wellness model and provided once a week for four weeks. Wellness lifestyle, depression, and health-related quality of life were assessed pre-and post-test in both groups. Results: Data from 89 participants were analyzed. For participants in the experimental group, there was a significant improvement on all of the wellness-lifestyle subtasks except realistic beliefs. Perceived wellness and depression significantly improved after the in the experimental group (n=43) compared to the control group (n=46) from pre- to post-test in the areas of sense of control (p =.033), nutrition (p =.017), exercise (p =.039), self-care (p <.001), stress management (p =.017), work (p =.011), perceived wellness (p =.019), and depression (p =.031). One participant in the intervention group discontinued the intervention due to hospitalization and three in the control group discontinued the sessions. Conclusions: Wheel of Wellness counseling was beneficial in enhancing wellness for the community-dwelling elderly people. Research into long-term effects of the intervention and health outcomes is recommended.

Effects of Art Therapy on Cognition, Depression, and Quality of Life in Elderly (미술요법이 노인의 인지, 우울 및 삶의 질에 미치는 효과)

  • Choi, Yeon Hee;Jeon, En Young
    • Research in Community and Public Health Nursing
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    • v.24 no.3
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    • pp.323-331
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    • 2013
  • Purpose: The study attempted to examine whether the group art therapy using a collage medium and reminiscence therapy prevented or reversed dementia, prevented depression, and improved the quality of life of elderly women at high risk for dementia in community public health centers. Methods: As a quasi-experimental study with a non-equivalent control group, this study used a pre-post design. The subjects consisted of a random sample of women over 65 years of age who had been registered as being at high-risk for dementia at the Public Health Center of the G City, and the Dementia Support Center. Of these elders, 30 were assigned to the experimental group and 33 to the control group. The intervention was conducted twice a week for 5 weeks. $x^2$-test, t-test, Wilcoxon test were used to analyze the data. Results: After the program, cognitive function, depression, and quality of life were significantly better in the experimental group than in the control group. Conclusion: The group art therapy can be utilized in community-based nursing practices by identifying and registering those who are at high risk for dementia. The results should prove useful when designing future intervention strategies targeting elderly individuals residing in communities.